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General NPI Number Information
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NPI Number | 1811683543
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Entity Type | Individual
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Provider Name | CHRISTOPHER COLMAN
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Gender | Male
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 5419 CHAMBLEE DUNWOODY RD
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City | DUNWOODY
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State | GA
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Zip | 30338-4101
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Country | US
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Telephone | 404-988-1877
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S LIMESTONE 205 CHARLES T WETHINGTON
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-218-3732
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12293
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License Number State | GA
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